A mother brings her 18-month-old son into the clinic for his ...

[cmoore54]

A mother brings her 18-month-old son into the clinic for his diphtheria, tetanus, and pertussis vaccine. The child has a runny nose, a fever of 102.4F and is coughing. What should the nurse do?
 
  A) Administer the vaccine but monitor the child afterward for an extended time period.
  B) Give an antipyretic and administer vaccine when temperature is within normal range.
  C) Administer a reduced dose of the vaccine today and a normal dose when child is healthy.
  D) Hold the immunization until the child is free of allergic or cold-like symptoms.

Question 2

The nurse is caring for a patient who received succinylcholine during surgery.
 
  The nurse would expect the patient to spend more time in the postanesthesia care unit due to prolonged paralysis and inability to breathe if the patient was from what ethnic group? A) American Japanese
  B) Alaskan Eskimos
  C) Native Americans
  D) Hawaiian natives

[k.lashomb]

Answer to Question 1

D
Feedback:
The nurse should not administer the immunization if the child exhibits signs of acute infection because the vaccine can cause mild infection and can exacerbate acute infections. The child should be free of infection for several days before the immunization is given. Treating the fever, extended monitoring, or smaller doses will not overcome this risk and the only option is to hold the immunization until the child is healthy.

Answer to Question 2

B
Feedback:
Alaskan Eskimos belong to a genetic group that is predisposed to low plasma cholinesterase levels, making them susceptible to prolonged paralysis after succinylcholine use. The other ethnic groups do not have this genetic predisposition.

[cmoore54]

Excellent

[mcarey591]

TYSM